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Home My WebLink AboutPermit Building 1999-10-25ctTr oF ONEGON !sPRINGFTELD 225 NorLh Fifth Street Springfield, OR 9741'7 Location of Proposed Work: 1840 sTH ST Assessors Map #: a"] 032624 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIETD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nr:rnber: 99L027 Office: Inspection Line: 725 -37 59 125 -3'7 6 9 Tax Lot. #: 02600 Owner: TOM MCGINNIS Address: P. O .BOX 1-28'7 Phone #: 741--2995 city/state/zip: sPRFD oR, 97417 NEWDescript.ion Of Work: FIRE REPAIR/REMODEL Value 0.00 Name RICHARD ZINK Address Phone Architect General Contractor M&M CONST 0084378 6622 C STREET SPRTNGFIELD OR 974780 ConsE. Contractor #Expires o1 /28 / ee Phone 7 44- 0640 PLI'MBING No 2 Fee Charge 20.00 20.00 Single Fixture TOTAL PERMIT MECHAI.IICAL No 1 Fee Charge 3.00 10.00 25-00 Vent Fan/Single Duct Permit Issuance TOTAL PERMIT HANDICAP ACCESS: Y - - OFFICE USE QUAD AREA: 2RNW LAND USE: 5300 Item REMODEL & ADDITION TOTAL VALUE OF PRO.'ECT Square Feet x $/Square Feet Val-ue 110, 000.00 110, 000 . 00 Plan Check Fee:296.08 Rec #: 35692 Date: 09/21/99 Rec By: DoN MOoRE SPRINGFIELI, Job Number: 991027 CITY OF SPilNGFIELD, ONEGON Page 2 BUILDING Surcharge/admin MECHANICAL Surcharge/admin PLUMBTNG Surcharge/admin SUBTOTAL PERMITS TOTAL PERMIT FEES EXCI,I'DING ELECTRICAI, 4s5.50 45 .55 25 .00 1.50 20.00 2.OO 549 .56 549.56 --- REQUIRED INSPECTIONS --- It is t.he responsibility of the permit holder to see that afl- inspections are made at the proper time. To request an inspection, cal-l 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requesLs made after 7:00 a.m will be made Ehe following work day. Special Inspections: In accordance with Section 305 of the State Specialty Code a speclal j-nspector sha1l be employed by the Owner/Contractor during construction of any following "*" work. A copy of the special testing reports shaLl, be furnished to Building Safety. In addiLion to the inspections specified, the Buildj-ng Official may make or require other inspections of any construcLj-on work to ensure compliance wi-th the Building, City or Development Code. FOOTING - After Lrenches are excavated. ROUGH PLI,MBING - PriOr TO CO\/ET. ROUGH MECHAI'IICAL - Prior to cover. ROUGH ETECTRICAL - PriOr LO COI/ET. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSUL-V,B./SUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT DRYWALL - Prior to taping. FINAL PLIIMBING - When all plumbing work is complete. FINAL MECHAIiIICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all efectrical- work is complete ' FINAL FIRE - When all Fire Department requirements have been met. been met. FINAL SITE PLAN - After all requirements have been met for Minimum Development Standards or from the Development Agreement- FINAL BUILDING - When all required inspections have been approved and the building is comPlete. --- ADDITIONAL COMMENTS MDS REVIEW BY KAY BORK Plans Reviewed BY: LORNE PLEGER Building Site Reviewed By: BOB BARNHART Date: 1,o/25/99 SPF!NGFIELE, Job Number: 991-027 Page 3 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furLher cert.ify that any and all work performed sha11 be done in accordance with the ordinances of the City of Springfield, and the Laws of the State of Oregon perLaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi-fy that only contractors and employees who are in compliance with oRs 701.055 will be used on this project. I further agree Co ensure that aff required inspections are requested at the proper time, that project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 2 ture Date CITY OF SPilNGFIELT', ONEGON Receipt Number: Date Paid: Amount Received: Received By: /2^z< ^%,#,2 --- VALIDATION --- C'TY OF OFEGO'U use sl GFIELl, ELECTRICAL PERHIT APPLICATION Zoning ff6a"'",qq -al OFFICE: 726-3759 1 oo JOB ft /k Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATION ONLY Electrical Contractor 3 lt<c eddress f,z S-,{qu sl Ci ty sf trLD Phone 7{q-82 Superviso r License Number //rdRLt City Job Nunbe lotr 3. COHPI,ETE FEE SCffiDTIT.E BELOV -A.Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home- or Modular Dwelling SerVice or Feeder s 8s.00 $ 40.00 B. Services or Feeders InstalIation, Alterations or Relocation: OT INSTALI.,ATIONl'J' '5-e Sum 200 amps or 201 amps to 401 amps to less 400 amps 600 amps 1000 amps vo1 ts or Feeders 601 amps over 1000 Reconnec t to s s0.00 s 60.00 $100.00 s130. 00 s300.00s 40.00 Expiration Date ,/D -/ - constr contr. Number 3 Expiration Date 3* o? ture f Supervising Electrician 0wners Name ftn< r7/'Grn rri s Address AO 7 Q st <a- Ci Phone at{v o{a7 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATB: Over 600 amps or SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL -Each installation Pump or irrigation - Sign/Outline Lighting- Llilited Energy/Res -F Limited EnergY/Comm L &C. Tempora Ins taI 200 am 201 amps t Over 401 t or Relocation 40.00 $ 2.00 o vo D. Branch Circuits toB Nev, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 E Miscellaneous (Service/feeder not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECBIVED 0o 225 TIFTE SI3.EBT SPRINGFIETD, INSPECf,ION i $ 1s.00 !- aCITY OF 225 PIFTS STREST SPRTTIGFIELD, OREGON g747Ionins INSPECiNOIT REQUEST .7 DateOFPICE: 726-3759 C s,GFTELO BLECTRICAL PERHIT APPLICATTON City Job Nunber Nev Residential-Single or t[u1ti-Family per dvelling unit Service Inciuded; Items Cost $ 85.00 OZT (- Authorized Signatur€3. COI{PI.BTE FEE SCEEDTII.E BELOU 1 LOCATION/ Fr'O OF I )a0c A E Sum JOB €Ca,L€ Perrnit6 ar€ non-tEanGferable and expire if vork is not starteci vithin 180 days of issuance or if uork is suspended for 180 days. 2. COI{IBACTOR INSTALI.ATION OHLT Electrical contractor Able Electric Address 5511 MAIN ci tv. SPRINGFIELD Phone 726-6701 Supervisor License Number Expiration Date 1On1*, O / Constr Contr. Number 92506 Expiration Date 7n6ta3 Slgnature of Supervising Electrician s 1s.00 E. Servic IF Ins taLlat q THE Be. or Reloeationr 'or less .oo 7S C. Teoporary Services or Feeders.Installation, Alterition or Relocation 200 amps' 201 amps Over 401 Over 600 'uBn a56iE 200 amps or less / S 201 amps to 400 amps - S40I anps to 600 amps q 601 amps to 1000 amps S over lboo amps/vo1ti -. S Reeonneet 0n1y S 1000 sq. f Each addi sq. ft o thereof Each Hanu tlodular Service . t. or lesstional 500 10nr f L/ 60.00 100.00 130.00 300.00 40 otl 7a*l t?c 6 /zYvz'5 D. Branch Circuits SUBTO?AL OF ABOVElI State Surcharge 3Z Admini.stretive Fee TOTAT gvners Name Address t€fo fTtf Phone OVNER INSTATI.ATION The installation is being made on property I ovn uhich i-s not intended for sale, lease or rent. Osners Signature: DATE: Nev, Alteration or Extension Per Panel One Cireuit $ 35-00 Each AdditionalCircuit or uith Serviceoi re.aer Bermi t 3I $ 2.00 64? 0 t'{iscellaneous (Service/feeder not included) -Each instsllation Pump or irrigetion sigi/0u t Iine- Li gh ting--l Limited Energy/Res Limited trnergy/Comm Ci tv fff-rrrO/lf/2 S s 40.00 s 40.00 $ 20.00 $ 36.00 5 //a .a o ?.? P -j -r. -/ z/. =:.RECBIlIED I $ 40.00 v JoURNALo^ .oBNo. 7. '^^z ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY y'/-6,h*,.; LOCATION /81o €t/ *. DEVELOPMENT TYPE BTIILDiNG SZE:SIE'E - r{/"A/.-z c'r<-12- IMPERVIOUS SQ. FT xs0.232 PER SQ. FT 2. SAMTARY SEWER-CITY - t1/, nz,J F', ,L,,n*s NO. OF PFU'S X$48.27 PER PFU (See Reverse Side) Ft. s& 3. TRANSPORTATION /12.4{) &-C&* NO OF TINITS X TRIP RATE X COST PER PM PEAK HOUR TRIP x X 5486.73 PER TRIP x X 5486.73 PER TRIP ,[/, S # s 4. SAMTARY SEWER-MWMC A. REMBTIRSEMENT COST: -,Lb /4-,a-Zd.d-- NO. OF FEU'S X _ PER FEU B. IMPROVEMENT COST: NO. OF FEU'S x _ PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE 5. ADMINISTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .0s TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS r,2,3 & 4)$+ SE S <$ s 10.00 s €-- $ ATTACH'A. TOTAL SDC g-6 1. STORM DRAINAGE s8 out", tor/e,z ' : FIXTURE UNIT CALCU- \TION TABLE: NumberofNewF, (NOTE: For remodels, calculate only the r*f additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES :s X Unit Equivalent = Fixrure tlnits TINIT FIXTURE EQUTVALENT UNITS 2 I 2 3 6 2 6 6 I J 2 Drinliing Fountain. Floor Drain.. Interceptors For Grease/OiUSolids/Etc. Interceptors For Sand/Auto Wasb,/Etc. Laundry Tub/Clotheswasherfvlop Sink................... Clothesrvasher - 3 Or More............ Mobile Home Park Trap (l Per Trailer). Receptor For RefrigeratorAVater Station/Etc........... Receptor For Commercial Sink/DishwasheriEtc...... Shorver, Single Stall.. Shorver, Gang.. Sink: Bar, Commercial, Residential Kitchen............ Urinal. Stall/Wall... Wash Basin/Lavatory, Single........... Toilet. Public Installation............. Toilet, Private......... Miscellaneous: TOTAL FXTURE LTNITS CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits lAlead Year Annexed Credit for Parcel or Land Only If Applicable X $ _ (Rate X Assessed Value) Improvement (if after annexation date)X$ (Rate X Assessed Value) CREDIT TOTAL = $ Rate per $ 1,000 Assessed Value Year Annexed Rate per $ 1,000 Assessed Value I 979 or before 1980 198 I 1982 1983 1984 1985 1986 1987 1988 s4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1989 1990 1991 r992 1993 1994 1995 1996 1997 l 998 2.18 1.75 1.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential... Comrnerical. Industrial...... Governmental. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA - TOTAL LOT SIZE X RUNOFF COEFFICIENT 2 2 il 6 4 aCITY OF OREGON ,*.( h, ,r+. lollowtng proiect as submitted has the following ,,l,n! and-d'oei not require specific land use ..1:pIOVSl 225 ETYTE STREET SPRTNGFTELD, OREGoN' INSPECTION REQIIEST:" oFFICE: 726-3759 1.OF 0 o3 DESCRIPTI 7 JOB DESCRIPTIONf 6rz.r Pe rmits are non-transfer if vo rk is not started of is suance or if vork 180 days. 97 ..,7304J36flu,,'" TNSTALLATI6N i6qo 5{h72-av o a@ ON, thereofEXP'RE ,fdaG ,d THIS OR,S ANY 18ODAY FORPERtoD. B.Services or Ins tallat ion 3. COHPI.,ETE FEE SCffiDTIIJ BELOV A. Nev Residential-Single or lluf.l-f"riIY Per dvelling unit' Service rncluded, ,a",ns cost Each additional 500 sq. ft or Portion ELECTRICAL PERHIT APPLICATION Ci ty Job Number q L $ Bs.oo s 15.00 Home. or -lling Feeder Feeders , Alterations $ 40.00 CC-Zoning Sum 2. CONTRACIOR INSTALI.,ATION ONLY EIec t ri caI Con t rac tor Aaz € d/e< Address -Utt nlo /Y Ci ty Phone ?/o/ Supervisor License Number o Expi ration Date /o a o// Constr Contr. Number,2o 36zL Expiration Date /o Signature of Supervising Electrician or Relocation: 200 amPs or less 201 amPs to 400 amPs - 401- amPs to 600 amPs - 601 amPs to 1000 ?mPs- Over 1000 amPs/vo1ts - Reconnect OnIY TemporarY Services or Feeders -in"'tuff"iion, Alteration or Relocation / 200 amps'"o, iess J i t9'99 / ;oi ;;; io aoo amPs -' I ??'9q 0;;'161 io ooo ao'i's I $ 8o'oo 0ver 600 "*p" o"i5ootm" iee "B" a55vE- Branch Circuits ; " Nev, Alteration or Extension Per Panel $ so.oo s 60.00 s100.00 $130.00 $300.00 $ 40.00 'r tot Ovners Name Address ,/ 8?o //, r 74 Ci ty Fz o Phone'7 77 dro.L DATE: One Circuit Each Additional Circuit or vith Service or Peeder Permit Miscellaneous (Service/feeder not included) -Each installation Pumn or irrigation - Sisn/Outline Lighting_- l,iili ted EnergY/Res _- Limited EnergY/Comm /"G 2 D E OSNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended ior'saIe, lease or rent' 0sners Signature: $ 3s.00 $ 2.00 / ct. cD $ 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE 7% state Surcharge 3% Administrative Fee TOTAL RECEIVED 5 ?-, /r'7 rytffi I 103,uoL'10)+q!02+) t( q\ "'LtO 1 ------aFD-l6 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE:'7-73-77 TO: FR0t"1: SUBJECT: Building Department Springfield Fire Department Structural Damage to Bui'ldi ng Address or location of building -/a+c s il Name of or./ner Type of buiiding (Dwel f i ng , Store, lrlarehouse, etc. ) $Estimated value of building Estimated loss to building Date of fire ({ Location of damage 'in building Structural weakness as a result of the fire etc. ) 7 Exteri o Interio (Burned rafters, Beams, "1oi sts, etc. ) Additional pertinent information Electrical Hazard _/J*GJ (l,liring, 0utlets, etc. ) CC ?Ztr -17 Siqned lt .?tt